Individual
FATMA BAHAR MATUSIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
80 DEVONSHIRE DR, SOUTHINGTON, CT 06489-4239
(860) 305-0384
Mailing address
80 DEVONSHIRE DR, SOUTHINGTON, CT 06489-4239
(860) 305-0384
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PCT.9570
CT
1835P1200X
Pharmacotherapy Pharmacist
Primary
PCT.9570
CT
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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